SHASTA PRIMARY CARE LLC
NPI 1740945906
Clinic/Center - Primary Care in Redding, CA
About Shasta Primary Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHASTA PRIMARY CARE LLC (NPI 1740945906) is a healthcare organization registered as a primary care in Redding, California and active in the NPI registry since November 2021. The organization lists Shauni Vonice Williams, Rendering Provider/founder, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shasta Primary Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Shasta Primary Care LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Shasta Primary Care LLC's NPI number?
The NPI number for Shasta Primary Care LLC is 1740945906. It was assigned to this organization in the NPPES registry on November 3, 2021.
Where is Shasta Primary Care LLC located?
Shasta Primary Care LLC is located at 2121 Airpark Dr, Redding, CA 96001. The listed phone number is (530) 255-8025.
What is Shasta Primary Care LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Shasta Primary Care LLC enrolled in Medicare?
Yes. Shasta Primary Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Shasta Primary Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Shasta Primary Care LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Shasta Primary Care LLC was last updated on April 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Shasta Primary Care Llc · NPI 1740945906
Primary Care organization in Redding, California. Organization record, active in the CMS NPPES registry since November 3, 2021.
## Identity
- **NPI:** 1740945906 (Entity type: Organization)
- **Enumerated:** November 3, 2021
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Shauni Williams, RENDERING PROVIDER/FOUNDER
## Practice location
- **Address:** 2121 AIRPARK DR, Redding, CA 96001-2433
- **Phone:** (530) 255-8025 · **Fax:** (530) 255-8028
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 2, 2023
- **Other identifiers:** Other 202129410899 (CA); Medicaid 1000694320 (CA); Medicaid CA376666 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1740945906) · Data from the CMS NPPES public registry.